The radiologic evaluation of gross cecal distension: Emphasis of cecal ileus

C. D. Johnson, R. P. Rice, F. M. Kelvin, W. L. Foster, M. E. Williford

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93 Scopus citations


A retrospective review of plain abdominal radiographs in 46 patients with gross cecal distension (> 10 cm) was performed. In 25 (54%) of 46 patients, the cecum was dilated out of proportion to the rest of the colon and was rotated anteromedially. The term cecal ileus is used to describe this situation. Five (20%) of 25 patients with cecal ileus developed perforation. Four of these patients died as a result of the perforation. The risk of perforation was related more to duration of cecal distension than to absolute cecal size. Aggressive decompressive measures, including consideration of cecostomy, appear warranted in patients with gross cecal distension, especially when it is dilated out of proportion to the rest of the colon and has persisted for several days.

Original languageEnglish (US)
Pages (from-to)1211-1217
Number of pages7
JournalAmerican Journal of Roentgenology
Issue number6
StatePublished - Jan 1 1985


ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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